Individual provider Active NPI

William W Wachs, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1518046523
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
939DT Issued in KY
Practice address
154 Patchen Dr
Suite 71
Lexington, KY 40517-4418
Phone
(859) 268-1215
Fax
(859) 268-1215
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 939DT KY Primary

Addresses

Primary practice location

154 Patchen Dr
Suite 71
Lexington, KY 40517-4418

Mailing address

PO Box 216
218 Main St
Irvine, KY 40336
Phone (606) 723-2505

Other identifiers 1

IdentifierTypeStateIssuer
77009397MedicaidKY

Other names 1

  • W W W Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060131000497 KY Practitioner - Optometry 4082628912 Practice locations: Irvine, KY; Lexington, KY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

154 Patchen Dr
Lexington, KY 40517-4418
Phone (859) 268-1215

218 Main St
Irvine, KY 40336-1026
Phone (606) 723-2505

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
939DTKYMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1518046523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "address_2": "218 MAIN ST",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "40336",
            "telephone_number": "606-723-2505",
            "fax_number": "606-723-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 PATCHEN DR",
            "address_2": "SUITE 71",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174418",
            "telephone_number": "859-268-1215",
            "fax_number": "859-268-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHS",
        "first_name": "WILLIAM",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "939DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009397",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W",
            "last_name": "W",
            "middle_name": "W",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.